| NPI | 1245537034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9360848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN060931-APO06304) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2016-02-03 |